MTA

Mineral Trioxide aggregate

S.Pawan Kumar
• It was developed by the research pioneer and
Endodontist, Dr. Mahmoud Torabinejad at
Loma Linda University,California
 Composition

Tricalcium silicate(CaO)3.SiO2

Dicalcium silicate(CaO)2.SiO2

Tricalcium silicate(CaO)3.Al2O3

Tetracalcium aluminoferrite(CaO)4.Al2O3.Fe2O3

Gypsum CaSO4 · 2 H2O and

Bismuth oxide Bi O
 Properties

1. Biocompatible with periradicular tissues.

2. Non-toxic.

3. Non-resorbable.

4. Minimal or no leakage around the margins.

5. It is very alkaline material.

6. As a root-end filling material MTA shows less
leakage than other commonly used root-end
filling materials,which means bacterial
penetration will be less when using MTA.

7. It is a very alkaline material, ph of 12.5

after mixing. so you need to be infection free
when applying MTA to clear the acidic
environment.
compressive strength is 40 Mpa 24 hours after
mixing
and 67 Mpa after 168 hours.
 Title
Applications
Pulp capping
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Internal and external root resorption
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Lateral or furcation perforation
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Apexification
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 Pulp Capping

• In case of mechanical exposure that occurs

during cavity preparation and not a
pathological exposure due to caries. Proper
isolation should be done using a rubber dam
and cotton pellet.Disinfection of the cavity
with sodium hypochlorite. then application of
MTA over the exposure area.
Restoration of the cavity with amalgam or
composite is done. MTA provides a higher
incidence and faster rate of reparative
dentin formation without the pulpal
inflammation.
Internal & External Resorption

In internal resorption root canal

therapy is performed, putty mixture
of MTA is inserted in the canal
using gutta percha. The MTA will
provide structure and strength to
the tooth by replacing the resorbed
tooth structure.
In external resorption… after root canal
therapy is performed. Flap is done over
the tooth and remove the defect on the
root surface with a round bur.
Application of MTA to the root surface.
 Lateral or furcation perforation

Lateral perforation occurs due to wrong

direction of instrumentation during
cleaning& shaping of the canal. If it
accidentally happened... . finish cleaning
& shaping of the canal , irrigate the
canal with sodium hypochlorite to
disinfect it and dry it with a paper point.
When the perforation occurs at the
furcation(between roots) area… it
also can be fixed by using MTA
material . the perforation can be
sealed with MTA mixture. Make sure
that you can locate the canal while
the MTA has not set and remove the
excess material from the area. Close
the tooth as above and do the root
canal the next visit.
 Apexification
Title

When the root is not completely formed …

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In case of non-vital pulp:
1. Isolate the tooth with a rubber dam 2.
perform root canal treatment. 3. Mix the
MTA and plug it down to the apex of the
tooth, creating a 2 mm thickness of plug.
5. Wait for it to set; then fill in the canal
with cement and gutta percha.
MTA showed clinical and radiographic success
as a dressing material following pulpotomy in
primary teeth and seems to be a suitable
replacement for formocresol in primary teeth.

Mineral trioxide aggregate showed clinical and

radiographic success as a pulpotomy agent in
immature permanent teeth (apexogenesis) and
seems to be a suitable alternative to calcium
hydroxide. (Pediatr. Dent. 2006;28:399-404)
 Title

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